Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 5863 | OR |
N | 111NR0400X | Rehabilitation Chiropractor | 5863 | OR |
NPI | 1306359252 |
---|---|
Provider Name | Dr. Stefanie Joy Lowe |
First Address | Hood River, OR 97031-9585 |
Second Address | The Dalles, OR 97058-1733 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/11/2017 |
Last Update Date | 14/11/2017 |